| NPI | 1831586072 |
|---|---|
| Former Name | TAN XU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 82297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.026699) |
| 207W00000X Ophthalmology (Licence: OH 57.026699) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2023-04-11 |